Brief Telephonic Motivational Interviewing for People Living with HIV with Follow-up Problems.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-01-24 DOI:10.1007/s10880-023-09993-x

E Gutiérrez-Velilla, R Robles-García, J J Sánchez-Sosa, S Ávila-Ríos, N P Caballero-Suárez

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Abstract

Motivational interviewing (MI)-based interventions can be effective for people living with HIV (PLWHIV) with medical follow-up problems. This study aimed to assess the stage of motivation to attend medical appointments of PLWHIV with medical follow-up problems and to evaluate a single telephone session MI intervention directed to engage them in care. The change in stage was evaluated before and after the intervention, and attending medical appointments was monitored for six months. Thirty-nine PLWHIV participated; 51.3% were in precontemplation/contemplation and 49.7% in preparation/action stage. Most (excluding those in the action stage from the beginning) (n = 22, 71.0%) advanced to another stage after the intervention (z = - 4.235, p < .001), and most did not miss the following appointments. Brief and remote MI interventions could be useful in low-resource settings, especially for those in the early stages of change, to explore motivations related with missing medical appointments.

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针对存在后续问题的艾滋病病毒感染者的简短电话激励访谈。

以动机访谈（MI）为基础的干预对有医疗随访问题的艾滋病病毒感染者（PLWHIV）可能有效。本研究旨在评估有医疗随访问题的艾滋病病毒感染者赴约就医的动机阶段，并评估旨在让他们参与护理的单次电话会谈式动机访谈干预。干预前后对阶段性动机的变化进行了评估，并对就诊情况进行了为期 6 个月的监测。39 名艾滋病毒感染者参与了干预，其中 51.3% 处于前考虑/考虑阶段，49.7% 处于准备/行动阶段。大多数人（不包括那些从一开始就处于行动阶段的人）（n = 22，71.0%）在干预后进入了另一个阶段（z = - 4.235，p＜0.05）。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.